NPI | 1457658247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012170) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012170) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2024-05-21 |